Landmark Medical Center
LANDMARK MEDICAL CENTER in POMONA, CA — inspection on November 26, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/22/2025 at 2:47 pm with Licensed Psychiatric Technician (LPT) 1, LPT 1 stated CNAs were supposed to do hourly visual checks on residents. LPT 1 stated it was important for CNAs to do hourly visual checks because incidents like suicide could happen. LPT 1 stated, We need to make sure they're (residents) alive and assess their behavior. LPT 1 stated incidents like resident-to-resident abuse could occur if staff were not checking on the residents hourly.
During an interview on 10/22/2025 at 2:56 pm with the Director of Nursing (DON), the DON stated the facility's standard was to check on residents every hour.
The DON stated whoever documented the monitoring must lay eyes (to see or look at the resident) on the resident or visualize the resident, To make sure they (residents) were okay.
The DON stated if CNAs or staff were not visualizing the residents every hour it posed a safety risk to the residents.
The DON stated if not visualized hourly residents could fall and be unable to ask for help, residents could go into another resident's room, and it could put the residents at risk for resident-to-resident abuse.
During a review of the facility's P&P titled, Policy for Hourly Monitoring of Residents, dated 5/2024, the P&P indicated it was the policy of the facility to provide an atmosphere that was safe and secure for all residents and staff.
The P&P indicated that each CNA was assigned a zone or area in the unit and would observe the location of resident assigned in their section, each hour, and document the location in the facility's electronic medical record (EHR).
The P&P indicated in documenting resident location in the EHR, staff were making an honest and accurate entry that they visually saw and identified the resident.
The P&P indicated the monitoring allowed the staff to account for each resident and ensured that each resident was free from distress.
Facility ID:
05A134
IDENTIFICATION NUMBER:
05A134
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Landmark Medical Center
2030 N.
Garey Ave.
Pomona, CA 91767
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/22/2025 at 2:56 pm with the Director of Nursing (DON), the DON stated the facility's standard was to check on residents every hour.
The DON stated whoever documented the monitoring must lay eyes (to see or look at the resident) on the resident or visualize the resident, To make sure they (residents) were okay.
The DON stated if CNAs or staff were not visualizing the residents every hour it posed a safety risk to the residents.
The DON stated if not visualized hourly residents could fall and be unable to ask for help, residents could go into another resident's room, and it could put the residents at risk for resident-to-resident abuse.
During a review of the facility's P&P titled, Policy for Hourly Monitoring of Residents, dated 5/2024, the P&P indicated it was the policy of the facility to provide an atmosphere that was safe and secure for all residents and staff.
The P&P indicated that each CNA was assigned a zone or area in the unit and would observe the location of resident assigned in their section, each hour, and document the location in the facility's electronic medical record (EHR).
The P&P indicated in documenting resident location in the EHR, staff were making an honest and accurate entry that they visually saw and identified the resident.
The P&P indicated the monitoring allowed the staff to account for each resident and ensured that each resident was free from distress.
During a review of the facility's P&P titled, [Facility] Policy on Documentation in Point Click Care (EHR), updated 1/2022, the P&P indicated all entries were to be made by the nurse who provided the nursing care or made the observation.
Facility ID:
05A134
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.